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对2例巨结肠同源病行根治术后无效患儿,通过分析其直肠肛管测压检查特点及临床表现,及时行甲状腺功能测定辅助确诊;并加强心理护理,改进扩肛治疗方法及配合饮食、服药的健康教育措施。结果治疗3个月后,患儿临床症状明显缓解,甲状腺功能接近正常。提示护理人员熟练掌握直肠肛管测压检查能为临床确诊提供有效的参考资料,采取积极的护理措施,亦能提高治疗效果。
In 2 cases of Hirschsprung’s disease homologous disease after radical surgery in children, by analyzing the features and clinical manifestations of rectal anal canal manometry, thyroid function test in time to confirm the diagnosis; and strengthen psychological care, anal augmentation treatment methods and improve cooperation Diet, medication health education measures. Results After 3 months of treatment, the clinical symptoms of children were relieved and thyroid function was close to normal. Prompted nursing staff proficiency in rectal anal canal manometry can provide an effective reference for clinical diagnosis, take active nursing interventions, but also improve the therapeutic effect.